Home parenteral nutrition in a patient with Crohn's disease. A case report.
Total parenteral nutrition (TPN) carried out by the patient at home is a new concept in the treatment of intestinal failure. We describe a patient with Crohn's disease who has extensive involvement of the small intestine with resultant severe malabsorption, and who was therefore treated with 'home' TPN for 4 months. During this treatment there were no serious complications. The disabling symptoms present before hyperalimentation was commenced disappeared, and overall clinical improvement has been maintained for a further 6 months after TPN therapy. This case illustrates the feasibility of safe TPN at home in selected patients who have access to specialized hyperalimentation units.
D000328:Adult; D003424:Crohn Disease / Q000628:therapy*; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008297:Male; D010288:Parenteral Nutrition / Q000379:methods*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011859:Radiography; D012648:Self Care